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308534 02/28/17 4 (4,p F J% l CITY OF CARMEL, INDIANA VENDOR: 365677 CHECK AMOUNT: $*******453.86* ONE CIVIC SQUARE GORDON FOOD SERVICE, INC r �; CARMEL, INDIANA 46032 PO BOX 88029 CHECK NUMBER: 308534 v,�, CHICAGO IL 60680-1029 CHECK DATE: 02/28/17 (TON L,O. DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 926089970 376.84 FOOD & BEVERAGES 1207 4239040 926090168 77.02 FOOD & BEVERAGES Prescribed by State Board of Accounts City Form Nol201(Rev.1995) VOUCHER NO. WARRANT NO. Vendor# 365677 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER GORDON FOOD SERVICE, INC IN SUM OF$ CITY OF CARMEL PO BOX 88029 An invoice or bill to be properly itemized must show:kind of sentice,where performed,dates servicel rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. CHICAGO, IL 60680-1029 Payee $376.84 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Course Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 926089970 42-390.40 $376.84 1 hereby certify that the attached invoice(s),or 2/9/17 926089970 Banquet Food $376.84 1207 101 1207 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Thursday, February 09,2017 I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 365677 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER GORDON FOOD SERVICE, INC IN SUM OF$ CITY OF CARMEL PO BOX 88029 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. CHICAGO, IL 60680-1029 Payee $77.02 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Brookshire Golf Course Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 926090168 42-390.40 $77.02 1 hereby certify that the attached invoice(s),or 2/14/17 926090168 Banquet Food $77.02 1207 101 1207 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Wednesday, February 15,2017 V I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer A/R Inquiries 1-800-968-6490 CLStomer Service 1-800-968-'11611 www.sfs.com ! Fishers 9540 ;Masters Rd Brookshire Golf Club i Indi�inapolis., IN 46250 12.120 Brookshire Pkwy 317) 845-0712 100133245 11,11VO 1 C C111� Invcice Number 926089970 I Invoice Daie 02/09/17 Terr}s: Net 30 gays - I 0/R Inquiries 1-800-968-6490 CLStomer Service 1-800-963-111 fill ;2'I? 29.1 www.gfs.com Mos,taccioli W/Mt S H,99 598:300 Brookshire Golf Club __...: . 2 @ 30;70 ` ` 12.120.-Brookshire Pkwu CHIK BRD PARM O/R Ell .110 Carmel,IN 69813100 100133245 Pasta Spaghetti Ck 8359100 :Envr,ire Number 926090168 2 @ 31 ,9'9 Invcice Date 02/14/17 MEfiiBALL CKC ITALI 63.98 Teres: [,let 30 Days 60715220. 120-1 ,5Z ECC FRENC �!6•99 Brownie Turtle 12x 1939 5802550 6-:1113501 Salad Hearts & Hea 4.99 1a 9.9c, 5730E'11 Variety Pk Cheese 19,5481 11 19.99 8503571 Grzted Parmesan Ch 219,98 GFS Entertan Crack a.29 4'154011 2'184011 Moe:z Cheese Fthr S 11 .99 Disinfecting Wipes 9.110 7809[151 Btr•mlk Ranch Drse 5,49 183•Ii21 Poi N Pan Jewel 1- 7. 1'9 1073511 329-1361 Horuey Mustard Drss 5 `l� Cubed Med Ched Che 3.99 1073611 4714961 French Red Drss 1- 5.919 Cubed Co-Jack Chee 3.99 1073711 471,4E 11 Golden Italian Drs 5. 9 Cheese Cubes Jalap 3,99 10 7:22 11 551:3931 Garlic Mist 1-13 o E .99 TOX 0.00 BALANCE .022 3!4 Slcd Mozz Chees 4.99 xx'f* ANCE 17. GFSCharge T7.(12 72656,71 Slc:d Provolone Che 11,99 CHANGE O,UO 'f01'f-I_ NUMBER OF ITEMS SOLD 9 72613'321 02/•14. 1 7 '11 :57am 1905 4 193 660SIO 2212 6.49 11111111111.1111111111111111111111111111111111 IN I III Deluxe Marinara Sa 12,98 1909691 80190500401931702141167 .e I? 7.99 Dig: Nacho Cheese S 15,9.1 Tctni Due: 77.02 3236161 Cusiolner acknowledges receipt -of' the Leituce Salad Mixe .3oocs referenced above and promise:: to 2065041 Pau •h7 the order of GFS the total due r: @ 0.71511 I pur•:auant to-fhe. Customer's Account Fall Pan 1/3 Size 1, r4 Application Agreement 664711-1 TAS,, _ . _ 0.00 •e* BALANCE 376,li 1 GI=5Charge 376,84 � CHANGE 0.00 'rOTI"1_ NUMBER. OF ITEMS SOLD °_ 30 AA.- ani a_.��e �t:nnn-- _